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l C.F TIGARD Plumbing Permit 4050
ding Department No.
al Commercial[ Commercial ❑
~tWallation [ Replace ❑ Addition ❑ Alteration ❑ Date
-._-- -- ----- _ Job Address
_ -2 -7 �� ! --- Applicant
CITY BUSINESS LICENSE REQUIRED FOR ALL CONTRAC CORS AND SUB-CONTRACTORS
ITEM NO. rEE TOTAL ITE:n" NO. FEE TOTAL
Traps_ 7.50 -- _Sewer:First 100 ft. — ______30.00
r_ 7.50 Each Addit.100 ft. 1;.x.00
Disposal 7.50 _ -Ejector Pump -- 7.50
Heater — 7.50 Water:First 100 ft. 20.00 r✓ `�"
Pre_venter - 7.50 EachAddit.200ft. 15.00 _
- _^ Storm&Rain Drain:First 100 ft. 30.00
Each Addit,200 ft. 15.00
I Mobile Home Space — 20.00 —
(Specify): Rain Drain-Single Fam.Dwelling - 15.00
- — -- —
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PERMIT FEE [) ed
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�-- Receip Noi3yte J- Applicant ._
c Signature — --- --�
v For Plumbing inspection Phone 639-4171